Trigger
- MAP < 65 mmHg or SBP < 90 mmHg
- Signs of poor perfusion
Assess
- Volume status and recent losses
- Cardiac rhythm and rate
- Infection or bleeding source
Stabilize
- IV access and monitoring
- Fluid bolus if preload low
- Consider vasopressor if fluid-refractory
Correct
- Treat underlying cause (sepsis, bleed, arrhythmia)
- Review meds lowering BP
Reassess
- MAP response within 1-2 hours
- Urine output and lactate trend
Educational reference only. Not a substitute for clinical guidelines or supervision.